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Correlates of vocational outcomes of youth with co-occurring mental illness and substance use disorders: Evidence from a vocational rehabilitation program

Published online by Cambridge University Press:  13 December 2021

Olayemi A. Akinola*
Affiliation:
The Family Institute at Northwestern University
Euchay Ngozi Horsman
Affiliation:
Southern Arkansas University
Lisa Dunkley
Affiliation:
East Tennessee State University
*
*Corresponding author. Email: [email protected]
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Abstract

Youth with co-occurring mental illness and substance use disorders are at higher risk for vocational rehabilitation exclusion. This study aimed to (a) explore the personal factors associated with vocational outcomes of youth with co-occurring mental illness and substance use disorders and (b) highlight services that have shown the greatest promise for this population in the state-federal rehabilitation program in the United States. Our analytic sample was extracted from the Rehabilitation Services Administration’s Case Service Report data set for 2013, 2014, and 2015 fiscal years. Multiple regression analyses results identified personal factors such as gender, race/ethnicity, level of education, and severity of disability as predictors of the achievement of competitive employment, hours worked, and income. The receipt of vocational rehabilitation services such as job search support, job placement assistance, vocational training, and on-the-job support are significantly associated with the achievement of competitive employment, higher work hours, and income. These finding have implications for vocational rehabilitation practice as they highlight who is at higher risk for poor outcomes, effective services, and additional factors to consider when working with youth with co-occurring mental illness and substance use disorders.

Type
Articles
Copyright
© The Author(s) 2021. Published by Cambridge University Press and The Australian Journal of Rehabilitation Counselling

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